1. The Judicial Branch’s Response to the Opioid Crisis
Connecticut Opioid Summit
November 9, 2018

2. Judicial Branch Contracted Services
Alternative In the Community
Adult Behavioral
Health Services
Residential Services

3. Adult Behavioral Health Services (ABHS)
Judicial Branch, Court Support Services Division currently contracts with 35 licensed outpatient clinics located across the State of CT. ABHS Clinics evaluate, diagnosis and treat substance use disorders, mental health and trauma disorders, and anger management. Clinics use evidence-based or research driven clinical interventions including cognitive behavioral treatment. Treatment is gender responsive and gender separate.

4. ABHS Contracted Services (Cont.)
Individual and Group Treatment includes: Substance use, co-occurring, mental health, anger management, trauma and relapse prevention. Group treatment is generally 60 – 90 minutes, one time a week for 12 weeks.
Intensive Out-Patient Treatment (IOP): Intensive substance use or co-occurring treatment for individuals with chronic substance use or co-occurring disorders but do not meet clinical criteria for inpatient treatment Treatment includes group, and individual counseling. IOP is 3 hours a day, 3 times a week for 4 to 6 weeks, based on the client’s individual needs.

5. ABHS Contracted Services (Cont.)
Medication Evaluations and Medication Management: Medication evaluations are conducted by a Doctor or Advanced Practice Registered Nurse to determine if medication is required to treat the mental health or substance use disorder. Medication is regularly monitored for dosage, side effects and effectiveness.
Substance Use Testing: Urines and breathalyzers are taken when ordered to detect the use of alcohol and/or drugs.

6. Medication Assisted Treatment in JBCSSD ABHS contractors
Methadone
Buprenorphine / Suboxone
Vivitrol
Naltrexone
31 of 35 locations will write a prescription for Naloxone (Narcan) for opioid users.

7. Residential Drug Treatment
Access to 188 residential treatment beds through an MOA with the Department of Mental Health and Addiction Services (DMHAS).
Services and length of stay vary from program to program depending on their duration and level of care, but include 20 or more hours of group treatment a week, comprehensive case management, life skills, employment readiness, family therapy to name a few.
Population served – male and female 18 years of age and older with significant substance abuse and minor co- occurring mental health disorders.

8. Treatment Pathway Program

9. First TPP Program Basics
First TPP located in Bridgeport, Connecticut
Site chosen because of familiarity with commitment and quality of community provider and support of other stakeholders in justice community.
Community provider committed to ensuring same day admissions for clients.
Underlying Objective
Eliminate the practice of incarcerating people because they are sick.

10. Key Stakeholders
Kevin Kane and Brian Austin, Office of the Chief State’s Attorney
Recovery Network of Programs including John Hamilton, CEO, and staff
Bridgeport Court Prosecutors
Bridgeport Court Public Defenders
Judicial Branch
Judge Devlin, Administrative Judge, Criminal Courts
Michael Hines, Court Support Services Division

11. TPP Objectives
Re-direct the population with low level non-violent and non-weapon-related crimes and who have substance use disorders (either arrested for these disorders or related crimes) toward treatment and away from incarceration.
Provide a meaningful care opportunity to patients who are ill with addiction and who may have little or no access to care in the community.
Reduce the population entering our Bridgeport jail in order to better manage capacity of our medication for addiction program in the jail.
Reduce the CT DOC population and reduce costs of incarceration to the state.

12. Treatment Pathway Program Locations
Bridgeport Superior Court
June, 2015
New London Superior Court
October, 2017
Torrington Superior Court
Waterbury Superior Court
July, 2018

13. TPP Screenings & Admissions

14. Accessibility to Treatment
RNP – MCCA Data

15. Disposed TPP Clients

16. Failure to Appear & Rearrests

17. New Arrest Rate Post-Disposition, Clients without Incarceration
New Arrest Percent
Days After Disposition

18. New Arrest for Drug Charges Post-Disposition, Clients without Incarceration
Percent with New Arrest

19. TPP Program Bed Days Saved: 416 clients served and disposed
Total Bed Days Saved from release to disposition 74,933
Total State Savings $9,666,357 (based on average of $129 a day).